Individual
SAMUEL A AMILL-ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., FCCP
Contact information
Practice address
E36 CALLE HERNANDEZ CARRION, URB ATENAS, MANATI, PR 00674-4622
(787) 884-4478
(787) 884-4495
Mailing address
E36 CALLE HERNANDEZ CARRION, URB ATENAS, MANATI, PR 00674-4622
(787) 884-4478
(787) 884-4495
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
6112
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05947DM7
PR NARCOTICS LICENSE
PR
01
—
6112
PHYSICIAN LICENSE
PR
01
—
AA1366485
FEDERAL NARCOTICS LICENSE
PR
Enumeration date
08/15/2005
Last updated
03/04/2014
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